创伤性蛛网膜下腔出血并发脑积水危险因素分析

发布时间：2019-07-13 17:38

【摘要】：目的探讨创伤性蛛网膜下腔出血并发脑积水的危险因素。方法2008年1月—2018年1月,随机选取我院收治的创伤性蛛网膜下腔出血并发脑积水患者43例作为观察组,选择单纯创伤性蛛网膜下腔出血患者51例作为对照组,对两组患者进行单因素分析,观察对比两组患者性别、年龄、下腔出血位置、下腔出血分布、高血压病史等指标情况。结果两组患者性别、创伤性蛛网膜下腔出血位置差异无统计学意义,P0.05,而观察组年龄低于30岁占比、GCS评分超过9分占比、局限创伤性蛛网膜下腔出血分布比率、创伤性蛛网膜下腔出血厚度低于5 mm比率均低于对照组,而行去骨瓣减压术治疗患者比率、脑室内出血比率、存在高血压病史比率高于对照组,P0.05。结论对创伤性蛛网膜下腔出血并发脑积水患者,高龄、创伤性蛛网膜下腔出血厚度、脑室内出血情况和出血部位均会产生明显影响,临床治疗应结合上述因素制定科学合理的救治方案,促进患者病情恢复,并尽量降低脑积水发生率。
[Abstract]:Objective to investigate the risk factors of traumatic subarachnoid hemorrhage complicated with hydrocephalus. Methods from January 2008 to January 2018, 43 patients with traumatic subarachnoid hemorrhage complicated with hydrocephalus were randomly selected as observation group and 51 patients with simple traumatic subarachnoid hemorrhage as control group. Univariate analysis was carried out between the two groups. Sex, age, location of inferior cavity hemorrhage, distribution of inferior cavity hemorrhage and history of hypertension were observed and compared between the two groups. Results there was no significant difference in sex and location of traumatic subarachnoid hemorrhage between the two groups (P0.05). In the observation group, the age was less than 30 years old, the GCS score was more than 9 points, the distribution rate of localized traumatic subarachnoid hemorrhage and the ratio of traumatic subarachnoid hemorrhage thickness less than 5 mm were lower than those in the control group. The history rate of hypertension was higher than that of the control group (P 0.05). Conclusion the patients with traumatic subarachnoid hemorrhage complicated with hydrocephalus have obvious effects on the old age, the thickness of traumatic subarachnoid hemorrhage, the condition of intraventricular hemorrhage and the location of hemorrhage. Clinical treatment should be combined with the above factors to formulate a scientific and reasonable treatment plan to promote the recovery of the patient's condition and to reduce the incidence of hydrocephalus as far as possible.
【作者单位】：无锡市第四人民医院神经外科
【分类号】：R651.1

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